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' FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �►b <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NON ,.�r Z10 59 7 <br /> GENERATOR eQ -f- co V- REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 6'1n SAN r B F-& w N ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY VEK ❑OTHER <br /> ! SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP <br /> S-7 La& 6�7, 9�.�.� 7,c--D S�rc <br /> PHONE I fD AJ - <br /> CONTACT PERSON j­,Do c.J,41s' ) <br /> SIGNATURE QF AUTHORIZED AGENT / TITLE DATE <br /> + WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> r_1 CONSTRUCTION SOIL E] ASH <br /> 9999 SOUTH AUSTIN ROAD <br /> ■• ❑ OTHER <br /> MAN�TECA, CALIFO,,,RNIA X9533,6, x, <br /> GENERATING FACILITY <br /> _fz `' 7 <br /> NAME <br /> ADDRESS <br /> CITY,STATE, ZIP <br /> T' w ` <br /> PHONE ❑ ❑ <br /> ROLL-OF�(S) , FLAT-BED VAN DRUMS <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ❑ ❑ ❑ ❑ <br /> , f <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other -SPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> �1 SOIL <br /> waste for any reason If Forward's refusal to accept the waste is bas8d l� <br /> site <br /> weather or other site conditions, Forward shall notify the Disposer when <br /> conditions are expected to chane such that Forward will be able to a Q SLUDGE <br /> the waste <br /> ~ REMARKS NON-FRIABLE <br /> ASBESTOS <br /> ■ FACILITY TICKET NUMBER Q WOOD <br /> - SIGNATURE OF AQIORIZED AGENT DATE Q ASH <br /> f <br /> OTHER <br /> mom <br /> f <br /> ro EMPECTED ARRIVAL ANY UNSCMEDULED LOADS ARE <br /> SCHEDULING MUST BE MADE PRIOR ST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SUBJECT TO REFUSAL UPON ARRIVOAL ONGOING DAILY DELIVERIES MU ^� <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST# 67974 <br /> rENERATOR COPY <br />